| Date of birth: | Jul 24, 1955 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-026904 |
| Booking date: | Dec 7, 2013 |
| Booking location: | Polk County, FL |
| Surety: | 1000 |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | DOMESTIC VIOLENCE BATTERY |
| Charge number: | 1 |
| Cash: | 1000 |
| Bond exp: | PTR COND |